Job Description
Position Medical Referral and Prior Authorization Specialist FLSA Status Hourly Non-Exempt Reports to Documents Manager Shift 8 hour shifts (varies) Reporters 0 Lunch 30 minutes Wage: $15.00- $16.00 per hour Education: High School Diploma or GED Medical Terminology Knowledge Medical Experience preferred Responsibilities: Process referral requests made by providers. Gather medication information: quantity, diagnosis, dosages, directions Gather patients current insurance information Ensure accura…
7:00 AM
Review the surgical and procedure schedule for the next 48–72 hours. Every case that requires authorization needs to be cleared be…
7:30 AM
Pull the PA worklist. Filter by date of service — cases with the earliest service dates get worked first. High-cost procedures (su…
8:30 AM
Submit PA requests to payers. Each payer has its own portal, its own forms, its own documentation requirements. You know them all…
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